Organization
P.SIONAT DENTAL CORP.
Active
Other names
P.SIONAT DENTAL CORP.
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN PAYAM SIONAT (PRESIDENT)
(310) 709-1045
Entity
Organization
Contact information
Practice address
1800 W 6TH ST STE 2, LOS ANGELES, CA 90057-3139
(310) 709-1045
Mailing address
10910 SANTA MONICA BLVD APT 3C, LOS ANGELES, CA 90025-4512
(310) 709-1045
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2019
Last updated
08/10/2019
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